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Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma.
Woods, Elizabeth R; Bhaumik, Urmi; Sommer, Susan J; Chan, Elaine; Tsopelas, Lindsay; Fleegler, Eric W; Lorenzi, Margarita; Klements, Elizabeth M; Dickerson, Deborah U; Nethersole, Shari; Dulin, Rick.
Afiliação
  • Woods ER; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
MMWR Suppl ; 65(1): 11-20, 2016 Feb 12.
Article em En | MEDLINE | ID: mdl-26916259
ABSTRACT
Black and Hispanic children are hospitalized with complications of asthma at much higher rates than white children. The Boston Children's Hospital Community Asthma Initiative (CAI) provides asthma case management and home visits for children from low-income neighborhoods in Boston, Massachusetts, to address racial/ethnic health disparities in pediatric asthma outcomes. CAI objectives were to evaluate 1) case management data by parent/guardian report for health outcomes and 2) hospital administrative data for comparison between intervention and comparison groups. Data from parent/guardian reports indicate that CAI decreased the number of children with any (one or more) asthma-related hospitalizations (decrease of 79% at 12 months) and any asthma-related emergency department visits (decrease of 56% at 12 months) among children served, most of whom were non-Hispanic black or Hispanic. Hospital administrative data also indicate that the number of asthma-related hospitalizations per child significantly decreased among CAI participants compared with a comparison group. The CAI model has been replicated in other cities and states with adaptations to local cultural and systems variations. Health outcome and cost data have been used to contribute to a business case to educate legislators and insurers about outcomes and costs for this enhanced approach to care. Strong partnerships with public health, community, and housing agencies have allowed CAI to leverage its outcomes to expand systemic changes locally and statewide to reduce asthma morbidity.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 Base de dados: MEDLINE Assunto principal: Asma / Negro ou Afro-Americano / Hispânico ou Latino / Disparidades nos Níveis de Saúde / Promoção da Saúde Tipo de estudo: Evaluation_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Adolescent / Child / Child, preschool / Humans País/Região como assunto: America do norte Idioma: En Revista: MMWR Suppl Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 Base de dados: MEDLINE Assunto principal: Asma / Negro ou Afro-Americano / Hispânico ou Latino / Disparidades nos Níveis de Saúde / Promoção da Saúde Tipo de estudo: Evaluation_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Adolescent / Child / Child, preschool / Humans País/Região como assunto: America do norte Idioma: En Revista: MMWR Suppl Ano de publicação: 2016 Tipo de documento: Article